KEVIN J KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

KEVIN J

Last Name

KELLY

Suffix

Business Name

KEVIN J KELLY MD

Original Issue Date

09/15/1997

Effective Date

09/15/1997

Expiration Date

07/31/2008

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008